Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $700.70 / $700.70	Facility		$550.00	$700.70	$700.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.81 / $886.69 / $1,217.90	Professional		$257.81	$886.69	$1,217.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.68 / $250.68 / $381.41	Professional		$250.68	$250.68	$381.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.68 / $1,293.79 / $2,441.03	Facility		$250.68	$1,293.79	$2,441.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $864.84 / $1,126.19 / $1,789.18	Professional		$864.84	$1,126.19	$1,789.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.68 / $381.41 / $1,122.03	Facility		$250.68	$381.41	$1,122.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.68 / $381.41 / $1,122.03	Professional		$250.68	$381.41	$1,122.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $373.40 / $373.40 / $373.40	Professional		$373.40	$373.40	$373.40
United Facility/Professional Professional Modifier Low / Median / High Price $864.84 / $1,072.40 / $1,816.16	Professional		$864.84	$1,072.40	$1,816.16